Care Navigator

Magnolia Health Plan; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated care management professional to enhance the health outcomes of its members. This remote role focuses on developing personalized care plans and coordinating services to ensure access to quality healthcare. With a commitment to community support, you will play a crucial role in advocating for members and facilitating connections to vital resources. The position offers competitive pay and a range of benefits, including flexible work arrangements. If you are passionate about making a difference in healthcare, this opportunity is for you.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Arrangements

Qualifications

• 2-4 years of related experience in care management or healthcare.
• Bachelor’s or Master’s in social work, sociology, psychology, or public health preferred.

Responsibilities

• Develops and coordinates care management activities based on member needs.
• Educates members and families on available services and benefits.
• Monitors progress towards care plan goals and collaborates with providers.

Skills

Care Management

Patient Advocacy

Community Resource Coordination

Healthcare Education

Education

Bachelor’s Degree in Healthcare-related Field

Master’s Degree in Healthcare-related Field

Job description

Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

***Remote role. Candidate must reside in Mississippi. Preferred experience in Obstetrics / Maternal Health. Licensure is not required.***

Position Purpose

Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to personalized care plans for members and educates members and their families/caregivers on available services and benefits to improve healthcare access and ensure high-quality care through advocacy and coordination.

1. Evaluates member needs, barriers to care, available resources, and recommends and facilitates the best care plan outcomes.
2. Develops or contributes to ongoing care plans and identifies providers, specialists, and community resources needed for care.
3. Provides psychosocial and resource support to members/caregivers and care managers to access local resources such as employment, education, housing, food, and other community services.
4. Coordinates between members, families/caregivers, and care providers to ensure timely access to services.
5. Monitors progress towards care plan goals and collaborates with healthcare providers for revisions or further evaluation as needed.
6. Maintains all member information and documentation to ensure compliance with relevant regulations.
7. May conduct on-site assessments and collaborate with providers or resources.
8. Provides education on procedures, healthcare instructions, referrals, and benefits to members and families.
9. Performs other duties as assigned to meet business and member needs.
10. Ensures compliance with all policies and standards.

Education and Experience

Bachelor’s degree and 2-4 years of related experience required. Clinical licensure (e.g., nursing) preferred. Equivalent experience may be considered.

License and Certification

• Current state clinical license preferred.
• For Mississippi Magnolia Health plan: Bachelor’s or Master’s in a healthcare-related field (social work, sociology, psychology, public health) and 2-4 years of experience; LSW or LMSW preferred.

Pay Range: $22.50 - $38.02 per hour.

Centene offers comprehensive benefits, including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, and flexible work arrangements (remote, hybrid, field, or office).

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.